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General NPI Number Information
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NPI Number | 1871542571
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Entity Type | Individual
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Provider Name | JAMES MICHAEL FIELDS D.C., NP-C
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 3930 DEVINE ST
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City | COLUMBIA
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State | SC
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Zip | 29205-2804
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Country | US
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Telephone | 803-274-6272
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Fax | 803-973-6627
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Provider Business Mailing Address
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Address Line | PO BOX 530062
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City | ATLANTA
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State | GA
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Zip | 30353-0062
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Country | US
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Telephone | 843-695-6071
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Fax | 843-569-5879
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17854
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2603
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License Number State | SC
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